| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,969 |
5,920 |
$451K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,417 |
1,288 |
$64K |
| 99490 |
Ccm add 20min |
1,878 |
1,876 |
$41K |
| 92552 |
|
865 |
865 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
246 |
246 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,262 |
1,215 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
151 |
$17K |
| 94010 |
|
383 |
381 |
$14K |
| 93000 |
|
1,009 |
1,002 |
$13K |
| 90674 |
|
465 |
465 |
$10K |
| 90756 |
|
142 |
142 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$3K |
| H0001 |
Alcohol and/or drug assessment |
358 |
347 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
62 |
$3K |
| H0049 |
Alcohol and/or drug screening |
897 |
888 |
$2K |
| 0012A |
|
54 |
54 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,881 |
1,876 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
69 |
$1K |
| 99051 |
|
973 |
912 |
$1K |
| 99439 |
|
49 |
49 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
340 |
329 |
$980.00 |
| 3078F |
|
1,779 |
1,665 |
$932.50 |
| S9470 |
Nutritional counseling, dietitian visit |
340 |
329 |
$916.00 |
| 92551 |
|
83 |
83 |
$915.52 |
| 3074F |
|
1,047 |
995 |
$915.00 |
| 0011A |
|
23 |
23 |
$879.76 |
| 99497 |
|
34 |
34 |
$806.46 |
| 99441 |
|
19 |
19 |
$663.07 |
| 99397 |
|
84 |
83 |
$407.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
322 |
320 |
$291.88 |
| 90688 |
|
15 |
15 |
$266.76 |
| 99408 |
|
978 |
969 |
$233.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$214.83 |
| 96127 |
|
31 |
31 |
$165.12 |
| 99173 |
|
71 |
71 |
$126.50 |
| 3079F |
|
195 |
186 |
$97.50 |
| 3075F |
|
319 |
308 |
$92.50 |
| 3077F |
|
387 |
353 |
$72.50 |
| 90686 |
|
135 |
135 |
$16.16 |
| G0008 |
Administration of influenza virus vaccine |
184 |
184 |
$15.49 |
| 99401 |
|
13 |
12 |
$13.34 |
| 1126F |
|
33 |
31 |
$0.00 |
| 99000 |
|
844 |
842 |
$0.00 |
| 1000F |
|
488 |
479 |
$0.00 |
| 3008F |
|
724 |
675 |
$0.00 |
| 1036F |
|
905 |
897 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
265 |
253 |
$0.00 |
| 2000F |
|
1,047 |
949 |
$0.00 |
| 99429 |
|
405 |
314 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
292 |
278 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
456 |
450 |
$0.00 |
| 4037F |
|
152 |
152 |
$0.00 |
| 3044F |
|
25 |
24 |
$0.00 |
| G8708 |
Patient not prescribed antibiotic |
13 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
79 |
72 |
$0.00 |
| 1170F |
|
33 |
31 |
$0.00 |
| 4293F |
|
57 |
57 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
19 |
$0.00 |
| 1159F |
|
221 |
209 |
$0.00 |
| 0124A |
|
15 |
14 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
152 |
152 |
$0.00 |
| 1160F |
|
69 |
66 |
$0.00 |
| 99072 |
|
106 |
86 |
$0.00 |
| 90662 |
|
78 |
78 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
27 |
26 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
117 |
113 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
33 |
$0.00 |
| 3725F |
|
150 |
150 |
$0.00 |
| 3050F |
|
27 |
27 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
21 |
21 |
$0.00 |